05D2303006 CLIA NUMBER - EVERSIDE HEALTH FAIRFIELD

Laboratory Demographics

  • CLIA Code: 05D2303006
  • Facility Name: EVERSIDE HEALTH FAIRFIELD
  • Facility Address: 1620 PENNSYLVANIA AVE SUITE B
    FAIRFIELD, CA
    ZIP 94533
  • Facility Phone: 951 229-0708
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN LANDSBERG
  • NPI Number: 1093585291
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2303006
LAB Type Physician Office
Facility Name EVERSIDE HEALTH FAIRFIELD
Street 1620 PENNSYLVANIA AVE SUITE B
City FAIRFIELD
State CA
ZIP 94533
Phone 951 229-0708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director JOHN LANDSBERG

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This page was last updated on: 9/29/2025